| NPI | 1902319486 |
|---|---|
| Former Legal Business Name | SHC IMAGINE CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM SOLER President 787-607-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2018-06-16 |